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Updated: Oct 22, 2025

An Improved Mechanical Testing Method to Assess Bone-implant Anchorage
Published on: February 10, 2014
Assessment of the Effect of Bone Density on Implant Stability: A Clinical Study
Raghunadh Sreerama1, Krishna Chaitanya Kolluru1, Vineela Gottumukkala2
1Department of Prosthodontics, Care Dental College, Guntur, Andhra Pradesh, India.
Background:
In this study, we determined the effect of bone density on implant stability.
Methodology:
Two hundred and sixty dental implant sites in 128 patients were assessed for resonance frequency analysis (RFA) following implant insertion, at 6 months and 12 months. The implant stability quotient (ISQ) was determined.
Results:
The mean ± standard deviation bone density in anterior mandible was 862.8 ± 203.4 Hounsfield units (HU), in posterior mandible was 528.4 ± 115.6 HU, in anterior maxilla was 594.2 ± 95.2 HU, and in posterior maxilla was 438.1 ± 110.2 HU. The mean insertion torque in successful implants was 38.2 ± 7.1 Ncm and in failed implants was 22.4 ± 4.2 Ncm. The mean RFA value in successful implants was 65.4 ± 5.8 and in failed implants was 45.8 ± 4.1 ISQ. A statistically significant (P < 0.05) difference was obtained.
Conclusion:
Within the limitation of the study, we observed that successful implants exhibited higher RFA and insertion torque and were higher into failed implants suggesting a correlation of bone quality and implant stability parameters.

